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�. ro1,M� � � � + <br /> . ' . ACCC. NO................................. <br /> CITY OF EVERETT—Water Dept. <br /> Applicalion No"�C�l'.�./+/ ��� "�:� .......19..":.�. <br /> .. Data.::..._....___......_...._.......... <br /> Install............. ................. i hh �e�rvice pipe <br /> _F-�v' �� � / <br /> Owner.....�._......_...........::. -i ll� �.��[-Gl-�'/........... . ........, <br /> � ............ ... 1... . <br /> �'�' -+'3 " �f�l.c�:2.�... ... �i�-�/_�;'/ <br /> . <br /> ..... ... <br /> A dd re s s.........��+-.........�:._...... <br /> Lot................. ...:. �:;�7..a..........................Block No..._..._...................................... <br /> Addition..................... ............................................................................................ <br /> Contractor......,�............:.... .!� .......... . �......_....................................., <br /> , <br /> _....�i%_""L.. / , i <br /> Remarks��C�!:�.t.!.. ;�.�.'�f::s:�.......�.....:._2::.�:3-''�:�:-r.�:.r<�. <br /> ......................................................�............................................................................... <br /> ... .................................................................................�_ ............................... <br /> Amt......................................... Rec.No.............,....,i.....:.--�-...�............................ <br /> By.....................�`-"1....�-.._� :.�/f:..................... <br /> �uperintendent <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ......... ......................................................................................................'-"-................. <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ShopRen,arks........................................................................................................... <br /> ............................................................ �--............................................-�--•--•-•�---.......... <br /> ..............................................................................................................._..---................. <br /> ..............................................................................................................._...................... <br /> ..................................................................................................................._.............. <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ...................................................................................................................................... <br /> . ........ ............................... ................................................................. ............... � � <br /> WorkCompleted............................................�....................................... ..... ....... <br /> Forettwn <br /> \ <br />